Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway
Abstract Background Laryngeal mask airway (LMA) insertion contributes to airway protection in patients with a laryngeal tumor around the glottis. There has been no report of LMA insertion itself exacerbating airway obstruction in such patients. Case presentation A 62-year-old male underwent elective...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2018-06-01
|
Series: | JA Clinical Reports |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s40981-018-0180-3 |
_version_ | 1818415877705433088 |
---|---|
author | Satoshi Fuseya Takashi Ichino Satoshi Tanaka Kumiko Ishida Takashi Ishida Mikito Kawamata |
author_facet | Satoshi Fuseya Takashi Ichino Satoshi Tanaka Kumiko Ishida Takashi Ishida Mikito Kawamata |
author_sort | Satoshi Fuseya |
collection | DOAJ |
description | Abstract Background Laryngeal mask airway (LMA) insertion contributes to airway protection in patients with a laryngeal tumor around the glottis. There has been no report of LMA insertion itself exacerbating airway obstruction in such patients. Case presentation A 62-year-old male underwent elective surgical resection of a large laryngeal polyp. The polyp was attached to the right vocal fold and synchronously swung inward into the trachea and outward to the larynx with inspiration and expiration, respectively. Although manual positive pressure ventilation was easily achieved without any airway obstruction after anesthetic induction, the airway was completely obstructed by the polyp lodged between the vocal cords immediately after LMA insertion. Soon after removal of the LMA, patency of the airway was dramatically improved. Conclusion Our experience indicates that we should pay attention to airway obstruction due to lodging of the polyp between the vocal cords after LMA insertion in patients with a laryngeal polyp. |
first_indexed | 2024-12-14T11:41:59Z |
format | Article |
id | doaj.art-4432e8d56b894ffab7f5bc009e093c60 |
institution | Directory Open Access Journal |
issn | 2363-9024 |
language | English |
last_indexed | 2024-12-14T11:41:59Z |
publishDate | 2018-06-01 |
publisher | SpringerOpen |
record_format | Article |
series | JA Clinical Reports |
spelling | doaj.art-4432e8d56b894ffab7f5bc009e093c602022-12-21T23:02:47ZengSpringerOpenJA Clinical Reports2363-90242018-06-01411310.1186/s40981-018-0180-3Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airwaySatoshi Fuseya0Takashi Ichino1Satoshi Tanaka2Kumiko Ishida3Takashi Ishida4Mikito Kawamata5Department of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineDepartment of Anesthesiology and Resuscitology, Shinshu University School of MedicineAbstract Background Laryngeal mask airway (LMA) insertion contributes to airway protection in patients with a laryngeal tumor around the glottis. There has been no report of LMA insertion itself exacerbating airway obstruction in such patients. Case presentation A 62-year-old male underwent elective surgical resection of a large laryngeal polyp. The polyp was attached to the right vocal fold and synchronously swung inward into the trachea and outward to the larynx with inspiration and expiration, respectively. Although manual positive pressure ventilation was easily achieved without any airway obstruction after anesthetic induction, the airway was completely obstructed by the polyp lodged between the vocal cords immediately after LMA insertion. Soon after removal of the LMA, patency of the airway was dramatically improved. Conclusion Our experience indicates that we should pay attention to airway obstruction due to lodging of the polyp between the vocal cords after LMA insertion in patients with a laryngeal polyp.http://link.springer.com/article/10.1186/s40981-018-0180-3Airway obstructionLaryngeal polypLaryngeal mask airway |
spellingShingle | Satoshi Fuseya Takashi Ichino Satoshi Tanaka Kumiko Ishida Takashi Ishida Mikito Kawamata Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway JA Clinical Reports Airway obstruction Laryngeal polyp Laryngeal mask airway |
title | Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway |
title_full | Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway |
title_fullStr | Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway |
title_full_unstemmed | Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway |
title_short | Airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway |
title_sort | airway obstruction due to a laryngeal polyp following insertion of a laryngeal mask airway |
topic | Airway obstruction Laryngeal polyp Laryngeal mask airway |
url | http://link.springer.com/article/10.1186/s40981-018-0180-3 |
work_keys_str_mv | AT satoshifuseya airwayobstructionduetoalaryngealpolypfollowinginsertionofalaryngealmaskairway AT takashiichino airwayobstructionduetoalaryngealpolypfollowinginsertionofalaryngealmaskairway AT satoshitanaka airwayobstructionduetoalaryngealpolypfollowinginsertionofalaryngealmaskairway AT kumikoishida airwayobstructionduetoalaryngealpolypfollowinginsertionofalaryngealmaskairway AT takashiishida airwayobstructionduetoalaryngealpolypfollowinginsertionofalaryngealmaskairway AT mikitokawamata airwayobstructionduetoalaryngealpolypfollowinginsertionofalaryngealmaskairway |